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Individual

SARAH JEANETTE THELEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LDN

Contact information

Practice address
2525 S MICHIGAN AVE, SUITE 250, CHICAGO, IL 60616-2333
(312) 567-7598
Mailing address
2525 S MICHIGAN AVE, SUITE 250, CHICAGO, IL 60616-2333
(312) 567-7598

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005724
IL

Other

Enumeration date
07/16/2012
Last updated
07/16/2012
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